Complaint·April 15, 2021

R1 was put into quarantine for 96 hours pending a second negative covid test. At the time of complaint, OC Public Health was recommending a second negative covid test upon return from hospitalization due to the surge occurring. The facility was compliant with the recommendation from OC Public Health and placed R1 in isolation pending a second negative test. Per hospice documentation dated 09/11/2021-10/01/2021 as well as witness interviews, R1's responsible party was being updated weekly at a minimum regarding resident's status. Per interviews and hospice documentation, facility requested responsible party to hire a private caregiver to observe resident upon return from hospital. Responsible party declines to provide a private caregiver with expectation that facility will provide monitoring. Facility states R1 was being observed every 30-60 minutes by facility caregiver. R1 was found on the floor later that night. Hospice provided a one on one care companion that evening. Hospice documentation indicates R1 is incontinent, needs maximum assist with transfers and ambulation, and utilizes a wheelchair. R1 is under a pureed and nectar thick diet to prevent aspiration and had lost weight due to not eating and general decline. Facility states being in constant communication with responsible party and physician. R1 was moved to a board and care on 09/30/2021. Per hospice nurse interview and hospice notes dated 09/30/2021, R1 tolerated the transfer well to the new facility. R1 was assessed by nurse at the new facility and was noted to be lethargic but able to respond to stimuli. Therefore the allegations are deemed unfounded meaning the allegations are false could not have happened and/or is without a reasonable basis. Exit interview conducted with Administrator and a copy of this report was left at the facility.